| NPI | 1801067764 |
|---|---|
| Former Name | MANDY LYN OWENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 52647) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2002027571) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2021-12-14 |